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目的:研究腹腔镜下输卵管积水造口术联合中药灌肠对输卵管积水性不孕的治疗效果及妊娠结局。方法:选取2012年3月-2014年12月在我院经输卵管造影或B超诊断为输卵管积水的88例患者,均行腹腔镜检查,术中对输卵管积水程度及输卵管功能进行评估。其中有3例重度输卵管积水患者在征得患者家属及本人同意后行双侧输卵管近端切除术。术后抗炎治疗,给予中药灌肠治疗1-3个月(经期停用),并进行随访。结果:85例患者中,26例妊娠,其中自然受孕13例,占15.3%。促排卵怀孕9例,占10.5%。IVF-ET成功2例,占2.3%,异位妊娠2例,占2.3%。结论:腹腔镜下输卵管积水造口术联合中药灌肠对治疗输卵管积水性不孕效果显著,且可获得较好的妊娠结局。
Objective: To study the therapeutic effect and the pregnancy outcome of laparoscopic tubal hydropic ostomy combined with traditional Chinese medicine enema on hydronephrosis of the fallopian tube. Methods: From March 2012 to December 2014, 88 patients diagnosed as hydrosalpinx or hydrosalpinx in our hospital were examined by laparoscopy. The severity of tubal hydrops and tubal function were evaluated during operation. Three cases of severe hydronephrosis were treated with proximal tubal resection with the consent of their families and their patients. Postoperative anti-inflammatory treatment, giving enema enema for 1-3 months (menstrual disable), and were followed up. Results: Of 85 patients, 26 were pregnant, of which 13 were natural conception, accounting for 15.3%. Ovulation pregnancy in 9 cases, accounting for 10.5%. 2 cases of IVF-ET were successful, accounting for 2.3%, 2 cases of ectopic pregnancy, accounting for 2.3%. Conclusion: Laparoscopic hydrosalpinx combined with traditional Chinese medicine enema for the treatment of hydrosalpinx infertility significant effect, and get better pregnancy outcomes.